Enroll Today For Rise Academy!Want to Enroll Your Child? Please complete the enrollment application below: Which grade are you enrolling your child? * Pre-School Pre-K Kindergarten Consideration for School Year? * Please indicate which year you are hoping to enroll your student. Did anyone refer you to RISE Academy? * Yes No If so, please list who referred you below. Leave blank if no one referred you. Student Name * First Name Last Name Student Date of Birth * MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Primary Spoken Language? * How many siblings attend RISE Academy, if any? * None 1 2 3 4 5 6+ If you your child has siblings who are currently attending RISE Academy please list their names below: Please indicate in the box below if there are any health needs of which we should be aware that will help us plan and provide for your student's educational experience. * If there are no health needs, please enter: None Does your child have a diagnosis? If so, please indicate it below. If your child does not have a diagnosis, please enter: None Home School District? * Names of person(s) financially responsible for the student? * Who does the child reside with? * Both Parents Mother Father Other Primary Caretaker Information * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Occupation * Family Status Married Separated Divorced Other Why are you choosing RISE Academy? * What are your child's greatest strengths? * What does your child struggle with? * Is there any other information you would like to mention that is not included in this form? Contact Name * First Name Last Name Contact Email * Contact Phone (###) ### #### IMPORTANT: To complete the application process and be considered for enrollment there are several documents we need (if applicable). Please review the list below carefully. To complete your application, please email copies of any documents pertaining to these areas (only if they apply to your child) to melanie.riseall@gmail.com - Current Report Card - IEP and ETR - 504 - Any Medical Conditions - Intervention Program - Home Program - Tutoring - Private Evaluation - Counseling/Therapy - Speech Therapy - Occupational Therapy - Physical Therapy - Medications Thank you for your interest in Rise Academy - Don't forget to hit the "submit" button below to complete the online application. REMEMBER: To complete the application process and be considered for this position, please email a copy of your resume and cover letter to melanie.riseall@gmail.com Thank you for your interest in Rise Academy!
